File a Report

The decision to report an assault is up to you. The most important thing is to choose the path that is most productive towards your recovery; for many survivors, just having their assault counted and on record is an important step in regaining the power they lost.

Prompt reporting of sexual assaults is strongly encouraged. Prompt reporting gives the college the best opportunity to stop sexual assaults, prevent their recurrence, and address their effects. Offenders can be apprehended and kept from repeating their actions.

Submission of the form below is a report to the Title IX coordinator of the college. The Title IX coordinator will follow-up with the reporter, after reviewing the report, to determine appropriate next steps.

About the Report

The Victim May Be Anonymous

Smith College uses a sexual assault reporting form to gather accurate information on about the incident on campus. All submitted reports will be reviewed and investigated, no matter how much information is provided. Reporters are encouraged to complete the form with as many details as they can. The more details provided, the better the college can respond. Requiring a minimal amount of general information, the form in no way requires the identification of the sexual assault survivor.

Is Not Legal Action

This report will be submitted to the Title IX coordinator of the college. Reporting a sexual assault or rape to Campus Police establishes and preserves evidence and officially documents the incident to ensure your legal rights are protected; it does not mean you must pursue prosecution. However, the report will support your case if you decide to prosecute in a court of law. If you wish to report a crime to Campus Police please contact them at 413-585-2490 or at extension 800.

Submit a Report

This form will be sent confidentially to Title IX Coordinator Dwight Hamilton.

Reporter's Information (Required)

Name of person filing report

Required

Department/campus address

Required

Phone number

Required

Incident Information

Reporter of incident (if person other than victim)

Date of incident

Time of incident

Place of incident (check all that apply)

On campus
Off campus
Residence house

Type of assault

If "other," please explain

Victim/Survivor Information

Name of victim (optional)

Affiliation to the college

Gender

Was the victim/survivor using alcohol or other drugs at the time of the assault?

Person providing this information is the:

Offender Information

Name of offender(s)

Number of offender(s)

Affiliation to the college

Gender

Race

If "other," please explain

Relationship to victim/survivor (check all that apply)

Acquaintance
Boss/supervisor
College staff member
Coworker/colleague
Current partner/spouse
Former partner/spouse
Friend
Health professional
Met same day, socially
Met same day, nonsocially
Other relative
Parent
Professor/faculty
Religious professional
Sibling
Stranger
Unknown
Visitor to campus
None of the above

If "none of the above," please explain

Was/were the offender(s) using alcohol or other drugs at the time of the assault?

Witnesses

Are there other witnesses?

Names/contact information for witnesses known

Follow Up

Does the victim/survivor plan to take further action against the offender?

If yes:

If "other," please explain

What other services or resources has the victim/survivor used? (Check all that apply)

Required I certify that I have answered all the questions above truthfully.

Please note: Successful submission of this form will take you to a confirmation page. If you clicked "Submit" and were not taken to a confirmation page, please scroll up and make sure you completed all of the required fields.